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Advancing perinatal patient safety through application of safety science principles using health IT. | PSNet

psnet.ahrq.gov/issue/advancing-perinatal-patient-safety-through-application-safety-science-principles-using-health

April 27, 2019 - Study Advancing perinatal patient safety through application of safety science principles using health IT. Citation Text: Webb J, Sorensen A, Sommerness SA, et al. Advancing perinatal patient safety through application of safety science principles using health IT. BMC Med Inform Decis Ma…

"Please describe from your point of view a typical case of an error in palliative care": qualitative data from an exploratory cross-sectional survey study among palliative care professionals. | PSNet

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December 04, 2016 - Study "Please describe from your point of view a typical case of an error in palliative care": qualitative data from an exploratory cross-sectional survey study among palliative care professionals. Citation Text: Dietz I, Plog A, Jox RJ, et al. "Please describe from your point of view a …

Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety. | PSNet

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July 06, 2022 - Study Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety. Citation Text: Foster C, Doud L, Palangyo T, et al. Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety…

Resident participation does not affect surgical outcomes, despite introduction of new techniques. | PSNet

psnet.ahrq.gov/issue/resident-participation-does-not-affect-surgical-outcomes-despite-introduction-new-techniques

September 23, 2020 - Study Resident participation does not affect surgical outcomes, despite introduction of new techniques. Citation Text: Patel SP, Gauger PG, Brown DL, et al. Resident participation does not affect surgical outcomes, despite introduction of new techniques. J Am Coll Surg. 2010;211(4):540…

Adoption of National Quality Forum safe practices by magnet hospitals. | PSNet

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May 15, 2019 - Study Adoption of National Quality Forum safe practices by magnet hospitals. Citation Text: Jayawardhana J, Welton JM, Lindrooth R. Adoption of National Quality Forum Safe Practices by Magnet® Hospitals. JONA: The Journal of Nursing Administration. 2011;41(9). doi:10.1097/nna.0b013e318…

Uptake of pharmacist recommendations by patients after discharge: implementation study of a patient-centered medicines review service. | PSNet

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December 14, 2016 - Study Uptake of pharmacist recommendations by patients after discharge: implementation study of a patient-centered medicines review service. Citation Text: Basger BJ, Moles RJ, Chen TF. Uptake of pharmacist recommendations by patients after discharge: implementation study of a patient-ce…

Duty hours in emergency medicine: balancing patient safety, resident wellness, and the resident training experience: a consensus response to the 2008 Institute of Medicine resident duty hours recommendations. | PSNet

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August 04, 2021 - Commentary Duty hours in emergency medicine: balancing patient safety, resident wellness, and the resident training experience: a consensus response to the 2008 Institute of Medicine resident duty hours recommendations. Citation Text: Wagner MJ, Wolf S, Promes S, et al. Duty hours in e…

The impact of post-fall huddles on repeat fall rates and perceptions of safety culture: a quasi-experimental evaluation of a patient safety demonstration project | PSNet

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December 30, 2014 - Journal Article The impact of post-fall huddles on repeat fall rates and perceptions of safety culture: a quasi-experimental evaluation of a patient safety demonstration project Citation Text: Jones KJ, Crowe J, Allen JA, et al. The impact of post-fall huddles on repeat fall rates and pe…

The effect of prescriber education on medication-related patient harm in the hospital: a systematic review. | PSNet

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January 07, 2015 - Review The effect of prescriber education on medication-related patient harm in the hospital: a systematic review. Citation Text: Bos JM, van den Bemt PMLA, de Smet PAGM, et al. The effect of prescriber education on medication-related patient harm in the hospital: a systematic review. Br…

The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records. | PSNet

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January 19, 2011 - Study The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records. Citation Text: de Wet C, Bowie P. The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records. …

Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error. | PSNet

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March 24, 2019 - Study Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error. Citation Text: Okon TR, Lutz PS, Liang H. Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error. J Pain Symptom Manage.…

Medical misadventures as errors and mistakes and motor vehicular accidents in the disproportionate burden of childhood mortality among Blacks/African Americans in the United States: CDC Dataset, 1968-2015. | PSNet

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March 05, 2025 - Study Medical misadventures as errors and mistakes and motor vehicular accidents in the disproportionate burden of childhood mortality among Blacks/African Americans in the United States: CDC Dataset, 1968-2015. Citation Text: Holmes L, Enwere M, Mason R, et al. Medical misadventures as …

Effectiveness of interventions to improve adverse drug reaction reporting by healthcare professionals over the last decade: A systematic review | PSNet

psnet.ahrq.gov/issue/effectiveness-interventions-improve-adverse-drug-reaction-reporting-healthcare-professionals

August 28, 2024 - Review Effectiveness of interventions to improve adverse drug reaction reporting by healthcare professionals over the last decade: A systematic review Citation Text: Li R, Zaidi STR, Chen T, et al. Effectiveness of interventions to improve adverse drug reaction reporting by healthcare pr…

ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2015. | PSNet

psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-monitoring-and-patient-education-0

September 30, 2020 - Study ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2015. Citation Text: Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Monitoring and patient education-2015. Am J Health Syst …

Liability reform should make patients safer: "Avoidable classes of events" are a key improvement. | PSNet

psnet.ahrq.gov/issue/liability-reform-should-make-patients-safer-avoidable-classes-events-are-key-improvement

July 26, 2023 - Commentary Liability reform should make patients safer: "Avoidable classes of events" are a key improvement. Citation Text: Bovbjerg RR, Tancredi LR. Liability reform should make patients safer: "avoidable classes of events" are a key improvement. J Law Med Ethics. 2005;33(3):478-500. …

Prevalence and nature of adverse medical device events in hospitalized children. | PSNet

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October 05, 2011 - Study Prevalence and nature of adverse medical device events in hospitalized children. Citation Text: Brady PW, Varadarajan K, Peterson LE, et al. Prevalence and nature of adverse medical device events in hospitalized children. J Hosp Med. 2013;8(7):390-3. doi:10.1002/jhm.2058. Copy …

Improvement in the detection of adverse drug events by the use of electronic health and prescription records: an evaluation of two trigger tools. | PSNet

psnet.ahrq.gov/issue/improvement-detection-adverse-drug-events-use-electronic-health-and-prescription-records

September 23, 2020 - Study Improvement in the detection of adverse drug events by the use of electronic health and prescription records: an evaluation of two trigger tools. Citation Text: Nwulu U, Nirantharakumar K, Odesanya R, et al. Improvement in the detection of adverse drug events by the use of electr…

The association between sepsis and potential medical injury among hospitalized patients. | PSNet

psnet.ahrq.gov/issue/association-between-sepsis-and-potential-medical-injury-among-hospitalized-patients

July 15, 2014 - Study The association between sepsis and potential medical injury among hospitalized patients. Citation Text: Liu V, Turk BJ, Rizk NW, et al. The association between sepsis and potential medical injury among hospitalized patients. Chest. 2012;142(3):606-613. doi:10.1378/chest.11-2556. …

Comparison of internal medicine and general surgery residents' assessments of risk of postsurgical complications in surgically complex patients. | PSNet

psnet.ahrq.gov/issue/comparison-internal-medicine-and-general-surgery-residents-assessments-risk-postsurgical

September 27, 2017 - Study Comparison of internal medicine and general surgery residents' assessments of risk of postsurgical complications in surgically complex patients. Citation Text: Healy JM, Davis KA, Pei KY. Comparison of Internal Medicine and General Surgery Residents' Assessments of Risk of Postsurg…

Pediatric ADHD medication errors reported to United States poison centers, 2000 to 2021. | PSNet

psnet.ahrq.gov/issue/pediatric-adhd-medication-errors-reported-united-states-poison-centers-2000-2021

October 30, 2024 - Study Pediatric ADHD medication errors reported to United States poison centers, 2000 to 2021. Citation Text: DeCoster MM, Spiller HA, Badeti J, et al. Pediatric ADHD medication errors reported to United States poison centers, 2000 to 2021. Pediatrics. 2023;152(4):e2023061942. doi:10.154…

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